It is recommended that endotracheal cuff (ETTc) pressure be between 20 and 30 cm H2O. In this present study, we intend to observe average cuff pressure values in our clinic and the change in these values after the training seminar. The cuff pressure values of 200 patients intubated following general anesthesia induction in the operating theatre were measured following intubation. One hundred patients whose values were measured before the training seminar held for all physician assistants, and 100 patients whose values were measured after the training seminar were regarded as Group 1 and Group 2, respectively. Cuff pressures of both groups were recorded, and the difference between them was shown. Moreover, cuff pressure values were explored according to the working period of the physician assistants. There was no significant difference between the groups in terms of age, gender and tube diameters. Statistically significant difference was found between cuff pressure values before and after the training (p < 0.001). Average pressure measure for Group I was 54 cm H2O, while average pressure in Group II declined to 33 cm H2O. It was observed that as the working period and experience of physician assistants increased, cuff pressure values decreased, however no statistically significant different was found (p < 0.375). We believe that clinical experience does not have significant effects on cuff pressure and that training seminars held at intervals would prevent high cuff pressure values and potential complications.

Comparison of endotracheal tube cuff pressure values before and after training seminar.

Ventilator-associated pneumonia (VAP) is a common cause of morbidity and mortality in intensive care unit (ICU), and among the several preventative strategies described to reduce the incidence of V...

Continuous Endotracheal Tube Cuff Pressure Control Decreases Incidence of Ventilator-Associated Pneumonia in Patients with Traumatic Brain Injury

Fil: Tenasczuk, K. Hospital de Alta Complejidad en Red El Cruce Dr. Nestor C. Kirchner. Servicio de Kinesiologia y Rehabilitacion. Florencio Varela, Argentina

Decanular. Factores predictores de dificultad para la decanulación: Estudio de cohorte multicéntrico

Tracheostomy and artificial ventilation in chronic: lung disease

Respiratory muscle strength and state of consciousness values measured prior to the decanulation in different levels of complexity. A longitudinal prospective case series study

Decannulation after the ICU Stay Analysis of 181 Tracheostomized Patients Objective: Find predictors of decannulation in tracheostomized patients and without mechanical ventilation A secondary objective was the analysis of mortality in the weaning center and survival at discharge Material and methods: We reviewed, retrospectively, the medical records of patients admitted to the weaning center with tracheostomy and without mechanical ventilation between January 2004 and June 2011 Different variables as possible predictors of decannulation were studied Mortality at weaning center and outcomes during follow up after discharge were analyzed

Decanulación después de la estadía en UCI. Análisis de 181 pacientes traqueotomizados

Risk Factors for Weaning Failure in Patients with Chronic Obstructive Pulmonary Disease in Prolonged Mechanical Ventilation Introduction: Patients suffering from chronic obstructive pulmonary disease (COPD) have an airflow limitation and require mechanical ventilation (MV). Because of deteriorated lung function, respiratory muscles weakness and malnutrition, patients also present difficulties in the weaning process. Information on the factors that can predict weaning failure in patients with COPD after prolonged MV is scarce. To identify risk factors for weaning failure in patients with COPD and evaluate the mortality depending on weaning success or failure.

Factores de riesgo para el fracaso de destete en una población de pacientes con EPOC en ventilación mecánica prolongada

Background: Most of the studies referring cuff tubes' issues were conducted on intubated patients. Not much is known about the cuff pressure performance in chronically tracheostomized patients disconnected from mechanical ventilation. Objective : To evaluate cuff pressure (CP) variation in tracheostomized, spontaneously breathing patients in a weaning rehabilitation center. Materials and Methods: Experimental setup to test instruments in vitro, in which the gauge (TRACOE) performance at different pressure levels was evaluated in six tracheostomy tubes, and a clinical setupin which CP variation over 24 h, every 4 h, and for 6 days was measured in 35 chronically tracheostomized clinically stable, patients who had been disconnected from mechanical ventilation for at least 72 h. The following data were recorded: Tube brand, type, and size; date of the tube placed; the patient's body position; the position of the head; axillary temperature; pulse and respiration rates; blood pressure; and pulse oximetry. Results : In vitro difference between the initial pressure (IP) and measured pressure (MP) was statistically significant ( P P 30 cmH 2 O in 6.28% of the recordings, 20-30 cmH 2 O in 42.0% of the recordings, and 2 O in 51.69% of the recordings. Conclusion : The systematic CP measurement in chronically tracheostomized, spontaneously breathing patients showed high variability, which was independent of tube brand, size, type, or time of placement. Consequently, measurements should be made more frequently.

Evaluation of tracheal cuff pressure variation in spontaneously breathing patients.

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Decanulación después de la estadía en UCI. Análisis de 181 pacientes traqueotomizados

Factores de riesgo para el fracaso de destete en una población de pacientes con EPOC en ventilación mecánica prolongada

Evaluation of tracheal cuff pressure variation in spontaneously breathing patients.